HI SB1076

Requires health care facilities to use air ambulance services contracted with a patient's health insurance carrier when transferring patients to another facility, except when medically necessary exceptions apply.

Mandates health carriers provide facilities with annual lists of contracted air ambulance services and contact information for notification if non-contracted services must be used.

Allows use of non-contracted air ambulance services only when the contracted service's estimated pickup time is too late based on the patient's medical condition or when transit time is not medically appropriate given the patient's acuity.

Requires transferring facilities to notify the health carrier when using non-contracted air ambulance services, though such notification does not obligate the carrier to pay the full billed charges.

Takes effect upon approval and applies to all transfers occurring after the date of approval, addressing balance billing concerns that arise when patients use non-contracted air ambulance services in Hawaii.